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Our quality improvement journey to deliver more comprehensive and consistent discharge information, by first creating a discharge education electronic book (eBook) using the iBooks® application program (Apple Inc., Cupertino, CA), and subsequently by using MyChart Bedside (Epic Systems Corporation, Verona, WI) to enhance NICU families’ preparedness for discharge.Balasundaram M, Miller S, Sivakumar D, Fleming A, Porter M, Charles J, McCallie K. “Using the ‘MyChart Bedside’ App to Enhance NICU Discharge Preparedness,” Poster, Gravens Conference on the Environment of Care for High Risk Newborns, Clearwater Beach, FL, March 4-7, 2020 Babcock R, Fleming A, Miller S, Sivakumar D, McCallie K, Charles J, Balasundaram M. “New innovative approach for NICU discharge education,” Poster, Vermont-Oxford Network (VON) Annual Quality Congress, Chicago, IL, October 2-6, 2019Corton L, Berghem-Kantor K, Babcock R, Matsumoto K, Celestino A, Miller S, Sivakumar D, McCallie K, Charles J, Balasundaram M. “Path to home starts at birth: benefits of consistent, early discharge teaching using technology as a supplemental resource,” Abstract and oral presentation, Gravens Conference on the Environment of Care for High Risk Newborns, Clearwater Beach, FL, March 6-9, 2019Corton L, Berghem-Kantor K, Babcock R, Matsumoto K, Celestino A, Miller S, Sivakumar D, McCallie K, Fontenot A, Charles J, Balasundaram M. “Using Technology to Support Consistent, Early NICU Discharge Teaching,” Abstract & poster presentation, California Association of Neonatologists Cool Topics Conference, San Diego, CA, March 1-3, 2019
Mountain View, California
Risk of Early Onset Sepsis (EOS) is low in a well-appearing late preterm and term neonate, even if maternal risk factors (i.e. fever/chorioamnionitis) are present. Use of a clinical monitoring approach for EOS in well-appearing neonates was successfully implemented in a community hospital and was associated with substantial reductions in antibiotic exposure and laboratory testing.Bain L, Sivakumar D, McCallie K, Balasundaram M, Frymoyer A. “A Clinical Monitoring Approach for Early Onset Sepsis in Well-Appearing Neonates: A Community Hospital Experience,” Oral Platform Presentation, Pediatric Academic Societies Annual Meeting, Philadelphia, PA, May 2-5, 2020 [meeting cancelled due to COVID-19]
Collaboration with University of California, Davis School of Veterinary Medicine to measure neurosteroid levels in infants to determine whether they are affected by skin-to-skin contact, thereby influencing neurodevelopment. Skin-to-skin contact between mother and child shortly after birth has been linked with improved infant growth, breastfeeding and attachment, and, for preterm infants, enhanced neurodevelopment. The biological basis for this in humans is unclear, however in horses, high levels of neuroactive steroids in newborn foals can induce abnormal behavior including a failure to breastfeed. We will track neurosteroid levels in human infants, both full-term and premature, some of whom receive routine skin-to-skin contact, to identify any associations between the two that could identify potential neurodevelopmental defects amenable to treatment with skin-to-skin contact.
Lucile Packard Children's Hospital Stanford
Nutrition & growth in premature infantsQuality improvement in the NICULeveraging electronic health record (Epic) for improvement in NICU outcomes
Phase 3 Study to Compare Safety and Efficacy of Smoflipid 20% to Intralipid 20% in Hospitalized Neonates and Infants
To show the superiority in safety of Smoflipid over Intralipid® as measured by the number of
study patients in each treatment group with conjugated bilirubin exceeding 2 mg/dL during the
first 28 days of study treatment, confirmed by a second sample collected 7 days after the
Stanford is currently not accepting patients for this trial.
For more information, please contact Kari McCallie, MD, 650-723-5711.
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